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Contact Information

PPCP SPECIALTY PHYSICIANS, LLC
5500 FRONT ST STE 230
SUMMERVILLE, SC29486-7735
 Phone: 843-569-1856
 Fax: 843-569-1879
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for PPCP SPECIALTY PHYSICIANS, LLC

NPI Number 1720693039
LBN Legal business name PPCP SPECIALTY PHYSICIANS, LLC
Authorized official TERRY CUNNINGHAM - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/14/2020
Last updated 02/28/2022 - About 4 years ago
Identifiers
SC Medicaid GP9819
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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